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Great 100 Nurses of Northeast Florida

Membership Application

Fill out the form below and choose to pay by mail or online with your credit card!

Membership is exclusive and is limited to past Great 100 recipients. Organization membership is the way to help strengthen and bring recognition to nursing in northeast Florida.

100% of the membership dues are eligible as charitable contributions for tax purposes!

* Required Information

Your Membership Level *

Memberships are for two years.
Memberships purchased today will be valid until June 30, 2013.


$50
$100
Lamplighter (Basic) Nightingale (Full)

Your Membership Contact Information
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If Paying online, you will be redirected to PayPal to provide payment information.
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